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Connection Form

Note: The Charter, license and Telecommunication Law shall prevail in all cases.

Please ensure all the applicable parts of this form are completed. Receipt of this information allows the BIX to perform the necessary admin, configuration and wiring work to allow you to connect. In order for BIX to process the application and enable you to connect at the earliest opportunity it is important that the information requested is provided as soon as possible.

Please note that BIX cannot guarantee connection until this information is provided.
A plain text version of this is available here

PRIMARY CONTACT (See Note 1)
Please complete either 1.1 or fill in 1.2 onwards. (See Note 2)

1.1.1 RIPE/NIC handle :

1.1.2 Name :

1.1.3 Organization Name :

1.1.4 Street Address :

1.1.5 Town/City :

1.1.6 District :

1.1.7 Post/Zip code :

1.1.8 Country :

1.1.9 E-mail :

1.1.10 Telephone :

1.1.11 Fax :

1.1.12 7 x 24 contact phone (See Note 3)

SECONDARY CONTACT (See Note 4)

1.2.1 RIPE/NIC handle :

1.2.2 Name :

1.2.3 Organization Name :

1.2.4 Street Address :

1.2.5 Town/City :

1.2.6 District :

1.2.7 Post/Zip code :

1.2.8 Country :

1.2.9 E-mail :

1.2.10 Telephone :

1.2.11 Fax :

1.2.12 7 x 24 contact phone (See Note 3)

OPERATIONAL INFORMATION
If you are located at AlMoayyed Tower, specify details in the applicable sections.

2.1 Router details :

2.1.1 Make & model (router 1) :

2.1.2 Make & model (router 2) :

2.1.3 Total height in 'U' :

2.1.4 Planned install date :

2.2 WAN circuit 1 details :

2.2.1 Type :

2.2.2 Bandwidth :

2.2.3 Circuit no :

2.2.4 Termination (e.g. X.21/G.703) :

2.2.5 X.21/G.703 converter required? : (See Note 5)

Yes

2.2.6 Planned circuit install date :

2.2.7 Is a CSU/DSU/NTU associated with this circuit?

Yes

2.3 CSU/DSU/NTU details :

2.3.1 Make & Model :

2.3.2 Height :

2.4 Will you be installing a second WAN circuit? (See Note 6) If NO - Please go to 2.8

Yes

2.5 WAN circuit 2 details :

2.5.1 Type :

2.5.2 Bandwidth :

2.5.3 Circuit no :

2.5.4 Termination (e.g. X.21/G.703) :

2.5.5 X.21/G.703 converter required? : (See Note 5)

Yes

2.5.6 Planned circuit install date :

2.5.7 Is a CSU/DSU/NTU associated with this circuit?

Yes

2.6 CSU/DSU/NTU details :

2.6.1 Make & Model :

2.6.2 Height :

2.7 Number of switch port(s) required to connect to
the BIX (See Note 7)

2.7.1 100Mb (non-blocking) Ethernet :

2.7.2 1Gb (non-blocking) Ethernet :

2.8 Usernames and Passwords for access to BIX facilities (See Note 8)

2.8.1 Username/password 1 :

2.8.2 Username/password 2 :

2.8.3 Username/password 3 :

2.8.4 Username/password 4 :

2.8.5 Username/password 5 :

2.9 Address/masks for BIX "collector" router access (See Note 9)

2.9.1 IP address/mask 1 :

2.9.2 IP address/mask 2 :

2.9.3 IP address/mask 3 :

2.10 Email addresses for subscription to BIX mailing lists (See Note 10) (paste additional lines as required)

2.10.1 e.secretary@bix.bh list :

2.10.2 public.relations@bix.bh list :

2.10.3 e.support@bix.net list :

2.11 Further domains from which postings to BIX mailing lists are to be allowed (See Note 11)

2.11.1 Domain 1 :

2.11.2 Domain 2 :

2.11.3 Domain 3 :

2.12 Email address(es) for nominated guardian(s) (See Note 12)

2.12.1 Guardian 1 email address :

2.12.2 Guardian 2 email address :

(See Note 13)

2.13.1 Username :

2.13.2 Password :

2.14 Miscellaneous

      2.14.1 Estimated volume of traffic (in Kbps or Mbps)
                flowing through the Applicant's connection to
                 the BIX within 3 months of connecting.

      2.14.2 Fully qualified domain name(s) for the
                Applicant's router(s) at the BIX, to be
                referenced in the BIX in-addr.arpa zone.

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